MEMBERSHIP APPLICATION Yes, I want to help restore our harbors!      Founder                        $1,000+      Sustainer                      $500-999      Business Sponsor       $500      Family                          $50-499           Individual                    $30 Name(s)_______________________________ _______________________________________ Street__________________________________ City/State/Zip__________________________ Telephone_____________________________ E-mail (For meeting and event notices we only send e-mails, so print clearly) ______________________________________________________________________ Send this form with your check to: CUSH, Inc. P.O. Box 883 Stonington, CT 06378 (860) 949-0911